Sra Ventures Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

HCC2621 Issued in FL

Legal business name

SRA VENTURES INC

Doing business as

WESTCOAST RADIOLOGY

Practice address

501 S Lincoln Ave
#15
Clearwater, FL 33756-5945

Phone

(727) 446-6760

Fax

(727) 441-2465

NPI assigned

Aug 29, 2005

Organization subpart

Yes

Parent organization

SRA VENTURES INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony Aboud, DO

Title

Ceo

Phone

(727) 446-6760

Specialties & licenses 3

Addresses

Other names 1

• WESTCOAST RADIOLOGY Doing business as

Part of

Sra Ventures Inc Dba We

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1205829934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE",
            "address_2": "#15",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565901",
            "telephone_number": "727-446-6760",
            "fax_number": "727-441-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LINCOLN AVE",
            "address_2": "#15",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565945",
            "telephone_number": "727-446-6760",
            "fax_number": "727-441-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRA VENTURES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SRA VENTURES INC",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "ABOUD",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-446-6760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "FL",
            "license": "HCC2621",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTCOAST RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Radiology Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.